Individual
MARVIN LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
175 SAMARITAN DR, JASPER, GA 30143-1964
(706) 253-4673
Mailing address
PO BOX 2547, BLUE RIDGE, GA 30513-0044
(706) 258-2091
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5494
GA
Other
Enumeration date
03/01/2006
Last updated
02/19/2019
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